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Senior Citizen Health & Medicine

Common Genetic Variation Linked to Substantial Risk of Heart Attack

Doubles chance of heart attack for men under 50, women before 60

May 7, 2007 - Researchers have found a common genetic variation in those of European descent on chromosome 9p21 that may be responsible for 21 percent of heart attacks and 31 percent of early attacks occurring in men under 50 and women under 60. This means that were the gene variant not present, there would potentially be 21% fewer heart attacks and 31% fewer early onset heart attacks.

 

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Approximately 21 percent of individuals of European descent carry two copies of the genetic variation (one from each parent), found on chromosome 9p21. They have a 1.64-fold greater risk of suffering a heart attack (myocardial infarction) and a 2.02 greater chance of suffering a heart attack early in life (men before 50, women before age) than those without the variation.

The study led by deCODE Genetics uncovered the first common variant found to be consistently linked to substantial risk of heart attack in multiple case-control groups of European descent.

The research project was led by the Icelandic genomics company deCODE Genetics, along with U.S. researchers at Emory University School of Medicine, Duke University, and the University of Pennsylvania.

The findings are published today in the online edition of Science, and will appear in an upcoming printed edition of the journal.

"The gene variant we have linked to heart attack points us to a major biological mechanism that substantially increases the risk," explains Emory cardiologist Arshed A. Quyyumi, MD, one of the study authors.

"Discoveries like this one greatly heighten our understanding of the role genetics plays in heart disease."

Other Emory researchers involved in the study were Viola Vaccarino, MD, PhD, professor of medicine (cardiology) and Allan I. Levey MD, PhD, professor and chair of neurology.

Investigators enrolled 4,587 patients over the last eight years who suffered myocardial infarctions, along with 12,769 control individuals. The study participants in Atlanta were enrolled at Emory University Hospital, The Emory Clinic and Grady Memorial Hospital through the Emory Genebank study and the Clinical Registry in Neurology. The Emory Genebank studies the association of biochemical and genetic factors to coronary artery disease in subjects undergoing cardiac catheterization.

Myocardial infarction is the death of heart tissue that results when the blood supply to the heart is cut off. It is the leading cause of death in the industrialized world. Nearly half of men and one-third of women who reach the age of 40 will suffer a heart attack in their lifetime.

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